Individual provider Active NPI

Jennifer R Hillyard, NP

  • Nurse Practitioner
  • Fort Wayne, IN
National Provider Identifier
1104348531
Registry record updated Jul 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
71007548A Issued in IN
Practice address
7615 W Jefferson Blvd
Fort Wayne, IN 46804-4133
Phone
(603) 531-4442
Fax
(260) 353-1447
NPI assigned
Jul 7, 2017
Last updated
Jul 18, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 71007548A IN Primary

Addresses

Primary practice location

7615 W Jefferson Blvd
Fort Wayne, IN 46804-4133

Mailing address

10214 Chestnut Plaza Dr PMB 228
Fort Wayne, IN 46814-8970
Phone (260) 353-1444

Other names 1

  • Jennifer Kryder Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171102001498 IN Practitioner - Nurse Practitioner 8224394572 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kara Health IncGroup PAC ID 0941523823, 2 clinicians

Practice addresses (Care Compare)

7615 W Jefferson Blvd
Fort Wayne, IN 46804-4133
Phone (260) 353-1444

Merit-based Incentive Payment System (MIPS)

Final score
83.53 of 100Reported as group
Quality
70
Promoting interoperability
100
Improvement activities
40
Cost
75.11

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
71007548AINMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Kara Health Inc CurrentSince Jun 1, 2025 Accepting new patients

Locations

10214 Chestnut Plaza Dr
Fort Wayne, IN 46814
Phone (260) 409-8188

7233 W Jefferson Blvd
Fort Wayne, IN 46804
Phone (260) 353-1444

7615 W Jefferson Blvd
Fort Wayne, IN 46804
Phone (260) 353-1444

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1499385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752796800000",
    "number": "1104348531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10214 CHESTNUT PLAZA DR PMB 228",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468148970",
            "telephone_number": "260-353-1444",
            "fax_number": "260-353-1447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7615 W JEFFERSON BLVD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468044133",
            "telephone_number": "603-531-4442",
            "fax_number": "260-353-1447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HILLYARD",
        "first_name": "JENNIFER",
        "middle_name": "R",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-07",
        "last_updated": "2025-07-18",
        "certification_date": "2025-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "71007548A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "KRYDER",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fort Wayne, IN

Sources for this page

Verify at the official NPI Registry.